Form
What state do you live in?
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
IllinoisIndiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
MontanaNebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
PennsylvaniaRhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Do you rent or own your home?
*
Rent
Own
How many individuals live in your household?
*
What is your gross family income range (Optional)
$20,000-$40,000
$50,000-$60,000
$70,000-$90,000
$100,000+
Back
Next
Have you bought a new home appliance in the last 3 years?
*
Yes
No
What factors go into your decision to buy a new appliance?
Need
Efficiency
Sustainability
Other
Back
Next
Which of the following have you heard of?
*
Solar Energy
Biodiesel
Greywater
Rain Barrel
Zero Waste
Compost
None
How many conservation measures do you have in your household?
(Ex. Low-flow shower heads, solar panels, LED lights, compost bin)
Back
Next
Are you conscious of your energy usage and spending?
*
Yes
No
A little
Are you conscious of your water usage and spending?
*
Yes
No
A little
Back
Next
Do you think water scarcity is an issue where you are?
*
Yes
Kind of
No
Are you worried about rising water prices?
*
Yes
A little
No
What are you currently doing/using in your home to reduce water waste?
Drip Irrigation
Low-flow shower heads
Greywater system
Letting it mellow
Duel flush toilet
Turning off the sink when you brush your teeth
Rain barrel
Other
Back
Next
Please input your email if you would like to hear back about the results of this survey
example@example.com
Submit
Should be Empty: